Registration Form for "Rallye National du Sud" 15-18 January 2010

Name/s of each person attending: (as required on a name tag)

1.

2.

3.

4.

5.

Address:

.

Phone .....................................Mob...............................email .........................................................

Member of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Citroën Car Club

Citroën model/s

Year

Registration Number

.

.

.

.

.

.

Registration:                    Adult

Child

 

_______ @ $150.00

_______ @ $70.00

Total

$

$____________________

$

Entrants are to arrange and pay for all accommodation, and all meals, except Friday evening supper, Saturday lunch and evening meal, and Prize-Giving Dinner.

A minimum deposit of 50% of total cost is to be forwarded with this form by December 1, 2009, with the balance to be paid upon registration at the Rally in Dunedin.

Amount enclosed: $_______________Please make cheque out to C.C.C.C. Rallye

I/we* acknowledge that I/we* will be participating in the 2010 Citroën Car Club Rally at my/our* own risk, and that I/We* will not hold responsible any organisers, or any members of any Citroën Car Club in the event of any loss, injury or damage incurred to any person or property while engaged in this event. I/We* also agree to abide by the rules of the Rally. (*Delete as appropriate)

Signed......................................................................................................Date:.................................

Please print off the above form and post with your remittance to:
Rallye National du Sud 2010, The Secretary, C.C.C.C. P O Box 10 327, Christchurch 8145

General Rules of Entry

1.  All vehicles entered must carry current registration and warrant of fitness

2.  Gymkhana events are for Citroën models only. More than one driver may enter using the same vehicle.

3.  Citroën models only will be eligible for the Trial Trophy.

4.  Pride of Ownership will be judged by popular vote.

5.  Overall Rally Trophy is awarded for the best overall aggregate points in both driven events.

6.  Trophies awarded to overseas entrants must be retained in New Zealand.

 

© 2009 CCCNZ